CASE A 68-year-old woman presented with a pruritic, blistering rash. Three months prior, she had developed itchy lesions on her hands and feet, spreading to her chest and abdomen. For the past week, she had developed painful, tense blisters. The patient had seen her primary care doctor at symptom onset and failed to improve with topical clobetasol proprionate and hydroxyzine. She took amlodipin...

EN: erythema nodosum ENM: erythema nodosum migrans INTRODUCTION Erythema nodosum migrans (ENM) is a rare clinical variant of erythema nodosum (EN). It is a septal panniculitis characterized by asymmetrical, mildly tender, nodules that migrate over time. Fever, sore throat, or arthralgias may also accompany the cutaneous manifestations of the disease; however, this is uncommon. The treatment of ...

A 57-year-old African American woman came to our dermatology clinic to reestablish care. She had a long history of plaque psoriasis involving her trunk and extremities. More recently, she had developed progressive hair loss, which her previous physician had attributed to the psoriasis. Before this visit, our patient had been treating her psoriasis with topical clobetasol and calcipotriene. A ph...

A 76-year-old woman with hypertension and hepatitis C presented with a 10-year history of sclerotic, atrophic, ivory-white plaques with violaceous borders on the upper part of her trunk and on her arms, waistline, and anogenital areas (Figure 1). The plaques were gradually extending and becoming more pruritic. A biopsy revealed findings diagnostic of lichen sclerosus (LS), including an atrophic...

espanolEl liquen escleroso es una enfermedad inflamatoria cronica, de etiologia desconocida, que afecta la piel y las mucosas. Presentamos un caso paciente con genital extragenital concomitante, presento buena respuesta al tratamiento clobetasol tracrolimus topico en region genital, fototerapia ultravioleta B banda angosta (UVB-BA) lesiones extragenitales. EnglishLichen sclerosus is a chronic i...